| NPI | 1982679056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA JANSSEN Adm Office Manager 888-447-9056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 602330-1714) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-08-22 |